Sustainable Midwifery Care (Continuity Of Care) In The Preconception Period in The Working Area Of The Pagambiran Health Center Padang City

Yulizawati Yulizawati; Prety Zinta Aprila; M. Pemberdi Intasir

doi:10.25077/jom.9.1.52-58.2024

Sustainable Midwifery Care (Continuity Of Care) In The Preconception Period in The Working Area Of The Pagambiran Health Center Padang City

DOI: http://dx.doi.org/10.25077/jom.9.1.52-58.2024

Author(s)

Yulizawati Yulizawati (Faculty of Medicine, Andalas University)
Prety Zinta Aprila (Faculty of Medicine, Andalas University)
M. Pemberdi Intasir (Faculty of Medicine, Andalas University)

Abstract

Background: Based on World Health Organization (WHO) data in 2021 that Maternal Mortality Rate (MMR) in the world caused by complications pregnancy and childbirth reached 295,000 (810 per day) people. Meanwhile, The maternal mortality rate in Indonesia recorded in the Indonesian health profile in 2021 is 7,389 mothers in West Sumatra Province. The maternal mortality rate also increased from 125 people in 2020 to 193 people in 2021. This phenomenon is not in accordance with Indonesia's Sustainable Development Goals (SDGs), which states that the maternal mortality rate target is a maximum of 70 deaths per 100,000 live births by 2030. So, the implementation of midwifery Continuity of Care (CoC) is very important as promotional and preventive step to prevent mother complication during pregnancy.
Purpose: Providing CoC midwifery care to women during the preconception period.
Methods: Implementation of midwifery care in a continuity of care manner with assessment according to midwifery science aims to help women solve the problems they face, with various steps consisting of basic data assessment, data interpretation, potential diagnosis, immediate action, drawing up a comprehensive care plan, implementation, and evaluation, as well as recording through SOAP documentation. S (Subjective) O (Objective) A (Assessment) P(Planning).
Results: The condition of the 4 clients was obtained with 2 clients, namely Mrs.V 29 years old with a history of 1 eracs and 1 abortion and Mrs. child and wants to get it back. Apart from that, 2 other clients, namely Mrs.C, 28 years old and Mrs.A, 29 years old, have not been successful in getting pregnant till date. Increasing client knowledge in the form of material discussed with interactive discussions using posters, leaflets and educational videos.
Conclusion: Regulation of Health Ministry of Indonesia (PMK 21 of 2021) has regulated the implementation of CoC which aims to reduce morbidity and mortality rates for mothers and newborns.
Keywords: midwifery, continuity of care, maternal mortality rate.

Keywords

midwifery, continuity of care, maternal mortality rate

Full Text:

PDF

References

World Health Organization. 2021. World health statistics 2021: monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization, 2021. Available from

https://reliefweb.int/report/world/world-health-statistics-2021-monitoring-health-sdgs

BPS Sumatera Barat. 2022. Profil Kesehatan Provinsi Sumatera Barat 2021. Bada Pusat Statistik Provinsi Sumatera Barat. Available from

https://sumbar.bps.go.id/publication/2023/06/27/a2ff441e960b0fb64fdc86e1/profil-kesehatan-provinsi-sumatera-barat-2022.html

Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional. 2015. Peta Jalan SDGs Indonesia Menuju 2030. Edisi ke-1. Kementerian PPN/Bappenas. Jakarta. Available from

https://sdgs.bappenas.go.id/website/wp-content/uploads/2021/02/Roadmap_Bahasa-Indonesia_File-Upload.pdf

Mastina, et al. 2023. Hubungan Penggunaan Buku KIA dengan Penerapan Continuity of Care (COC) Pada Pelayanan Kebidanan di Wilayah Kerja Puskesmas Tanjung Tebat Kabupaten Lahat. Jurnal Ilmiah Obsgin. 15(4):153-158. Available from

https://stikes-nhm.e-journal.id/JOB/article/view/1507/1382

Kementerian Kesehatan. 2021. Peraturan Menteri Kesehatan Nomor 21 Tahun 2021 Tentang Penyelenggaraan Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan, dan Masa Sesudah Melahirkan, Pelayanan Kontrasepsi, dan Pelayanan Kesehatan Seksual. Kemenkes. Jakarta. Available from

https://paralegal.id/peraturan/peraturan-menteri-kesehatan-nomor-21-tahun-2021/

Agus, et al. 2020. Analysis of Continuity of Care (COC) Implementation In Study Program D III Midwifery UNS. PLACENTUM Jurnal Ilmiah Kesehatan dan Aplikasinya. 8(2):67-76. Available from

https://jurnal.uns.ac.id/placentum/article/view/43420

Koomesh, et al. 2018. Effectiveness of midwifery counseling based on solution-focused approaches on fear of childbirth. Semnan University of Medical Sciences and Health Services. 20(22):375-383. Available from

https://www.researchgate.net/publication/324164651_Effectiveness_of_midwifery_counseling_based_on_solution-focused_approaches_on_fear_of_childbirth

Badan Koordinasi Keluarga Berencana Nasional. 2019. Pentingnya Mengatur Jarak Kehamilan Bagi Pasangan Usia Subur. Available from

https://kampungkb.bkkbn.go.id/kampung/12116/intervensi/195582/sosialisasi-pentingnya-mengatur-jarak-kehamilan

Kementerian Kesehatan dan Kementerian Agama. 2018. Buku Saku Bagi Penyuluh Pernikahan Kesehatan reproduksi Calon Pengantin. Edisi ke-2. Kementerian Kesehatan RI. Jakarta.

Hidayati, et al.2020. Analisis Kesiapan Psikologis Pasangan dalam Menghadapi Pernikahan. Jurnal Aplikasi IPTEK Indonesia (JAIPTEKIN). 4(2):136-146. Available from

http://bk.ppj.unp.ac.id/index.php/aiptekin/article/view/372

Savitrie, E. 2022. Gizi Seimbang Ibu Hamil.

URL: https://yankes.kemkes.go.id/view_artikel/405/gizi-seimbang-ibu-hamil

Kostania, et al. 2020. Pengembangan Booklet Pranikah sebagai Media Informasi dalam Pelayanan Kesehatan untuk Calon Pengantin. Jurnal Kebidanan Indonesia.11(2):1- 10. Available from

https://jurnal.stikesmus.ac.id/index.php/JKebIn/article/view/367

Winiastuti Y, et al. 2020. Delapan Fungsi Keluarga. Edisi ke-1. Badan Kependudukan dan Keluarga Berencana Nasional: Jakarta Timur. Available from

https://dppkb.bandung.go.id/uploads/informasi_publik/8-Fungsi-Keluarga.pdf

Badrunsyah, et al. 2019. Penyuluhan Tentang Manajemen Keuangan Keluarga Di RW 06 Kelurahan Cipayung. Jurnal Pelayanan dan Pengabdian Masyarakat. 3(1):1-9. Available from

https://ejournal.urindo.ac.id/index.php/PAMAS/article/view/372

Yulizawati et al, 2023, Formula of Learning Outcome Soft Skills Under Graduate Midwifery.Journal of Midwifery Vol 8 No 1. Available from http://jom.fk.unand.ac.id/index.php/jom/article/view/551